CHAPTER 22 RESPIRATORY respiration processes • • • • • pulmonary ventilation • move air in / out lungs external respiration • exchange gases air - blood transportation of gases internal respiration • exchange gases blood - cells cell respiration • glucose ATP use O2 make CO2 Respiratory system • pulmonary ventilation • external respiration functions of respiratory system • gas exchange • temperature regulation • acid – base regulation • • move air filter air warm air exchange gases vocal production smell parts of respiratory system • conducting zone • respiratory zone move air • nose , nasal cavities • pharynx • larynx • trachea • bronchus and its branches exchange gases • respiratory bronchioles • alveoli and alveolar ducts parts of conducting zone • upper respiratory tract • lower respiratory tract above thoracic cavity • nose • pharynx • larynx • trachea • lung within thoracic cavity nose • • • • • • • external nares = nostril nasal septum = ?? nasal conchae and meatus – superior, middle, inferior function ?? vestibule posterior nasal aperture = internal nares olfactory epithelium superior pseudostrat ciliated + neurons paranasal sinuses air filled lined with same mucosa – which bones ?? respiratory mucosa • • what kind of tissue ?? – also goblet cells secrete mucus functions : – – – mucus traps dust, bacteria, other small particles cilia moves contaminated mucus to pharynx moistens and warms the air pharynx • • • nasopharynx – – – – pharyngeal and tubal tonsils pharyngotympanic tube respiratory mucosa uvula oropharynx – – stratified squamous epith (friction from food) palatine , lingual tonsils laryngopharynx – divides to esophagus (food) larynx (air) larynx • • • • = voice box hyoid bone to trachea function: – – air passage cartilages vocal production vocal cords tissues: – – superior to vocal cords inferior to vocal cords larynx - cartilages • • • thyroid cartilage – laryngeal prominence = Adam’s apple cricoid cartilage inferior, ring of cartilage epiglottis closes during swallowing – vestibular ligament • internal – – – arytenoid (2) anchor the vocal cords corniculate (2) cuneiform (2) larynx – vocal structures • • • • vocal cords = vocal folds rima glottidis - elastic ct simple squamous epith opening glottis = rima glottidis + vocal cords intrinsic muscles – cricoarytenoid muscles trachea • • = windpipe job = move air fast • 16 – 20 cartilage rings keep trachea open incomplete posteriorly • trachealis muscle posterior wall contracts during cough • • carina pseudostratified ciliated epithelium bronchial tree • • • • • primary (main) bronchus R&L secondary (lobar) bronchi 3 right ; 2 left tertiary (segmental) bronchi 10 each lung bronchioles – – – < 1mm diameter elastic c.t replaces cartilage simple cuboid or columnar w/o cilia smooth muscle terminal bronchioles respiratory zone • • • • respiratory bronchioles lead into alveolar ducts alveolar ducts lead into alveoli alveolar sacs cluster of alveoli alveoli alveoli • • • • = functional units of gas exchange alveolar type I cells tissue? capillaries tissue? respiratory membrane – = alveolar + capillary epithelium + basal lamina alveoli • • • alveolar type II cells – = septal cells pulmonary surfactant elastic c.t. macrophages respiratory histology • startified squamous epithelium nasal cavity oro – and laryngopharynx larynx above vocal cords • respiratory epithelium nasopharynx larynx below vocal cords trachea , bronchi and bronchioles simple cuboidal epithelium respiratory bronchioles simple squamous epithelium alveoli • • lungs • • • apex superior tip base diaphragmatic surface surfaces – – – costal vertebral mediastinal • cardiac notch L lung • hilus root – pulmonary art and veins – bronchus – nerves – lymph vessels lobes of the lung • • right: superior lobe middle lobe inferior lobe left: fissures : divide lobes – – superior lobe inferior lobe left oblique fissue right oblique fissure horizontal fissure Pleura • • • pleura – – parietal visceral pleural cavity between 2 pleura pleural fluid – – prevent friction allows easy movement of lungs sticky holds lung close to thoracic wall during inhalation blood supply • • for gas exchange – – pulmonary arteries pulmonary veins for lung tissue – – bronchial arteries bronchial veins nerve supply • parasympathetic bronchoconstriction • sympathetic bronchodilation vasodilation , vasoconstriction • sensory breathing muscles • diaphragm • intercostal muscles – – – action flattens - increases thoracic volume external ICM pull up and out increase volume internal ICM pull down and in decrease volume neural control • • • • • medulla rhythmicity area pons hypothalamus, limbic emotions cerebrum conscious control sensory – – O2 , CO2 , pH changes central chemoreceptors • medulla, hypothalamus peripheral chemoreceptors • carotid and aortic bodies diseases • • • • • • asthma COPD – – emphysema chronic bronchitis pneumonia cystic fibrosis atelectasis cancer